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1245721216
EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
ATLANTA, GA
NPI
1245721216
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Entity Type
Organization
Authorized Contact
JEREMY TARVER
Owner
770-382-3536
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
Enumeration Date
2018-05-24
Last Update Date
2018-05-24
Business Address
EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
519 MEMORIAL DR SE UNIT D1
ATLANTA, GA 30312-2218
Phone number: 404-483-6316
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Mailing Address
EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
2115 WOLBERT TRL
MARIETTA, GA 30062-7908
Phone number: 770-382-3536
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